| Code | Description | Claims | Beneficiaries | Total Paid |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
229 |
112 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
75 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
112 |
107 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
51 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
104 |
$0.00 |